Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PR Lap Surg Supracervical Hysterectomy for Uterus 250g< W Rem Tube/Ovary
Troy, NY
See all hospitals reporting CPT 58542 →Price type
Samaritan Hospital’s median price of $1.8k is 83% below the median hospital's median price ($10.4k), higher than 15% of the 1,776 hospitals reporting CPT 58542. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 34 payers, 145 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna aetna medicare advantage professional · fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 2 | Aetna aetna professional · fee schedule · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 3 | Humana tricare professional · fee schedule · both | $59 | $163 | $147 | 90% | — | $59 – $372 |
| 4 | Tricare tricare professional · fee schedule · both | $59 | $163 | $147 | 90% | — | $59 – $372 |
| 5 | Aetna aetna medicare advantage professional · fee schedule · both | $63 | $173 | $156 | 90% | — | $63 – $393 |
| 6 | Anthem empire medicaid facility · fee schedule · outpatient | $187 | $187 | — | — | — | $187 – $187 |
| 7 | Excellus empire medicaid facility · fee schedule · outpatient | $187 | $187 | — | — | — | $187 – $187 |
| 8 | Humana tricare professional · fee schedule · outpatient | $216 | $216 | $156 | 72% | — | $59 – $372 |
| 9 | Tricare tricare professional · fee schedule · outpatient | $216 | $216 | $156 | 72% | — | $59 – $372 |
| 10 | Aetna aetna professional · fee schedule · both | $99 | $273 | $246 | 90% | — | $99 – $620 |
| 11 | Humana tricare professional · fee schedule · inpatient | $372 | $372 | — | — | — | $372 – $372 |
| 12 | Tricare tricare professional · fee schedule · inpatient | $372 | $372 | — | — | — | $372 – $372 |
| 13 | Aetna aetna medicare advantage professional · fee schedule · inpatient | $393 | $393 | — | — | — | $393 – $393 |
| 14 | Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient | $396 | $396 | — | — | — | $396 – $396 |
| 15 | Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient | $396 | $396 | — | — | — | $396 – $396 |
| 16 | Aetna aetna professional · fee schedule · inpatient | $620 | $620 | — | — | — | $620 – $620 |
| 17 | Aetna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $288 | $792 | $712 | 90% | — | $288 – $1.8k |
| 18 | Ambetter pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $288 | $792 | $712 | 90% | — | $288 – $1.8k |
| 19 | Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $288 | $792 | $712 | 90% | — | $288 – $1.8k |
| 20 | Anthem pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $288 | $792 | $712 | 90% | — | $288 – $1.8k |
| 21 | Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $288 | $792 | $712 | 90% | — | $288 – $1.8k |
| 22 | Carefirst pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $288 | $792 | $712 | 90% | — | $288 – $1.8k |
| 23 | Caresource pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $288 | $792 | $712 | 90% | — | $288 – $1.8k |
| 24 | Cigna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $288 | $792 | $712 | 90% | — | $288 – $1.8k |
| 25 | Clover pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $288 | $792 | $712 | 90% | — | $288 – $1.8k |
Last updated: Mar 31, 2026
See Laparoscopic hysterectomy with removal of tubes and/or ovaries pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.